Care Home: 57 Clarendon Villas

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Annual service review Name of Service: 57 Clarendon Villas The quality rating for this care home is: The rating was made on: three star excellent service 0 4 0 2 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Nigel Thompson Date of this annual service review: 1 9 0 1 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service Address of service: Basement Flats Hove East Sussex BN3 3RE 01273774014 Telephone number: Fax number: Email address: Provider web address:   clarendonmanagers@southdownhousing.org Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Southdown Housing Association Ltd Number of places (if applicable): Under 65 Over 65 2 0 The maximum number of service users to be accommodated is 2. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service 57 Clarendon Villas is a detached house in a residential road in Hove, close to local shops. Buses pass near to the home, and the shops and train station are within easy walking distance. The accommodation for the people who live there is on the ground floor, this comprises of two individual flats. Each has a kitchen, bathroom, bedroom, and sitting room overlooking the front of the house. Each flat has access to the staff sleep-in room. The service is one of several homes in the area run for people with learning disabilities by Southdown Housing Association. There is a small amount of front garden, and, to the rear of the property, the area is concreted. The patio is used Annual Service Review Page 2 of 8 0 4 0 2 2 0 0 9 in good weather for barbeques. There is a wooden, garden swing seat, herb garden and shed available to the people who live there. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment form that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) which was clear and comprehensive and gave us the information that we asked for. Our judgement is that the home continues to provide an excellent service for the people who live there. There were no requirementrs or recommendations made following the previous inspection. The inspection report was positive and outcomes for tenants were found to be excellent. The report concluded that: 57 Clarendon Villas is an established, well managed and well maintained service that continues to provide very good quality care and support for the people who live there. The comfortable, relaxed and welcoming environment has evolved over several years and reflects the stability and commitment within the staff team and the open and inclusive management style. Thorough policies and procedures are in place for the admission and ongoing care and support of tenants. Effective communication and consultation systems enable tenants to be directly involved in developing and reviewing their individual support plans as well as many decision making processes within the home. Individuality and independence evidently continue to be promoted. Tenants are enabled and supported to take part in a comprehensive and personalised range of educational and leisure activities, reflecting their individual interests and preferences, both within the home and in the wider local community. Communication and consultation with tenants family members remains effective and Annual Service Review Page 4 of 8 ongoing. Relatives have the opportunity to partake in individual assessment, care planning and reviewing processes. Staff receive effective induction and foundation training, regular supervision and are clearly valued and supported by the manager. Through working closely, sensitively and consistently with tenants, staff have clearly developed a sound understanding of their individual care and support needs. Tenants are encouraged and supported to make decisions about their day to day living, where appropriate and practicable. They are involved and regularly consulted on many aspects of life in the home, including menu planning, colour schemes and activities. The health, safety and welfare of tenants is ensured through the homes robust systems for dealing with any concerns or complaints as they arise and the procedures and guidelines that are in place to safeguard individuals from potential, harm, neglect and abuse. The AQAA indicated a range of areas where improvements have been made during the last year: Adaptations reflecting the new budgeting requirements have been implemented without affecting the tenants quality of life. Documentation including the Service User Guide and individual support plans have been reviewed and updated. New activities have been introduced, including supporting a tenant to visit new places as part of his day service provision. This has enabled the tenant to feel more settled and to help understand the expectations of his day service. One tenants communication skills have dramatically improved and all staff have responded to this in the appropriate manner, encouraging and collating further improvements in communication. Information and new guidelines implemented relating to healthy eating and Crones disease have massively reduced the incidents of one tenants bouts of illness and therefore his every day health and wellbeing. Improvements in active support have encouraged a tenant to achieve more goals set up for him and to develop his confidence in undertaking day to day activities with the emphasis on achievable and meaningful participation. Mental capacity and best interest forms have been introduced to ensure all medical activities are essential and tenants have as much understanding of the procedure as possible. With previous experience and knowledge gained, staff have a greater awareness, understanding and ability to plan and organise any major medical appointment or procedure for the tenants. Continued active support and emphasis on tenants communication skills has ensured that their individual wants and needs are identified and addressed, as far as Annual Service Review Page 5 of 8 practicable. Improvements in the physical environment since the previous inspection include the repainting of several rooms in both flats. A dimmer switch and smoked glass have been installed in the sleep in room to maintain the privacy and dignity of tenants and staff. The garden continues to be maintained to a high standard, winning gardening prizes in the Southdown gardening competition. New flooring has been put down in one of the flats to aid in health and safety issues. New kitchen cupboard doors and locks have been fitted to one of the kitchens with a high level of monitoring to ensure tenants health and safety (all risk assessments and best capacity interest forms have been completed with regards to this). New guidelines have been introduced regarding how best to support the tenants in the service vehicle and minimise incidents of challenging behaviour and damage to the vehicle. A complete periodical electrical test has been carried out. The boilers in both flats have undergone extensive servicing and the Head office have recently undertaken an extensive health and safety audit of the service. The senior has completed the senior support worker training and the manager has updated his training needs and updated the household filing system. Complaints are well managed and tenants, staff and visitors have confidence that they are listened to. Policies and procedures are in place to protect tenants from financial abuse and all financial transactions are recorded. Robust policies and procedures are in place relating to staff recruitment, annual leave and sickness absence Staff are clearly valued and well supported. Ongoing training is provided to ensure that all staff have the necessary skills and competencies to effectively meet the assessed needs of the tenants. There is evidence from the AQAA that the service continues to meet the tenants ongoing support needs and the management and dedicated staff team remain committed to providing good quality care and maintaining positive outcomes for the people who live at 57 Clarendon Villas. What are we going to do as a result of this annual service review? Annual Service Review Page 6 of 8 We are not going to change our inspection plan and will do a key inspection by 3 February 2012. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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